Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Dalessandro, DPM

Individual provider Podiatrist · NPI 1265746721

Dr. Nicole Dalessandro, DPM is a Podiatry in Williamsport, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1201 Grampian Blvd Ste 2F
Williamsport, PA 17701-1965
Phone: (570) 321-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence SC006243 (PA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006243 (PA)

Record details

NPI number1265746721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address1201 Grampian Blvd, Williamsport, PA 17701-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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